BLAKE ALEXANDER EVANS – Physical Medicine & Rehabilitation Physician, NPI 1285365734
Physical Medicine & Rehabilitation Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR
Provider Addresses for BLAKE ALEXANDER EVANS
1046 6th Ave SW
Albany, OR 973211916
Phone: (541) 812-4000
Type: Location
PO BOX 1188
CORVALLIS, OR 973391188
Phone:
Type: Mailing
400 HICKORY ST NW
ALBANY, OR 973211700
Phone: (541) 812-5840
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220810001210 | I | Physical Therapist In Private Practice | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 346 | 29 | $0 |
| 97530 | Therapy procedure using functional activities | 78 | 25 | $0 |
| 97162 | Evaluation for physical therapy, typically 30 minutes | 23 | 20 | $0 |
Insurance plans in this area (ZIP 97321)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | OR | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| - | OR | |
| Clinical Psychologist | OR | |
| Internal Medicine, Pediatric Medicine | OR | |
| Family Practice | OR | |
| - | OR | |
| Hospitalist, Family Practice | OR |
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